• Journal of Korean Academy of Nursing
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• v.31 no.6
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• pp.1055-1066
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• 2001

The Purpose of this study is to understand the meaning and the essence of suffering as viewpoint and to find the meaning and structure of the experience from encounters with patients in their terminal stages of illness. Method: A descriptive design based on the phenomenological approach model developed by Collaizzi was used. The period of data collection was from August to November of 2000. Data collection was conducted by open-ended and audio-taped interviews. The participants were nine female nurses who were willing to take part in this study. Results: Results of this study were classified into five main categories. The main category clusters were "difficulty in experiencing suffering," "professional challenges to expert nurses," "formation of empathic relationships," "expanding consciousness through suffering," and "alleviation of the patient's suffering." Conclusion: In conclusion, the implications for providing nursing care to end-stage patients in the throes of suffering is both rewarding and stressful. However, sharing these research results may help other nurses discover and experience deeper meanings in their own practice and careers.deeper meanings in their own practice and careers.

• Korean Journal of Adult Nursing
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• v.16 no.3
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• pp.378-387
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• 2004

Purpose: The study was undertaken to examine the degree of nurse's suffering experience and to identify the influencing factors on nurses' suffering experience in Korea. Method: Data were collected using a questionnaire for 271 nurses working at 5 general hospitals in Daegu and Kyung-book province from Sep. 1, to Sep. 30, 2003. The questionnaire consists of 54 items, general characteristics(10) and nurse's suffering experience(44). All surveys were sorted and studied by frequency analysis, mean score, standard deviation, range, independent t-test, one way ANOVA, Pearson's correlation coefficient and Multiple regression. Result: The findings of this survey indicate 1) The degree of suffering experienced by nurses caring for terminal cancer patients was 2.96; 2) Demographic variables affecting the degree of nurses' suffering experience were age(F=5.62, p=.000), marital status(F=20.53, p=.000), religion(F=5.44, p=.020), career of clinical experience(F=6.96, p=.000), and feelings of end-life care(F=3.11, p=.016); 3) There were slight correlation between the subitem of nurse's suffering experience and general characteristics of subjects. For 'expanding self consciousness', age, career duration, and position; for 'forming empathy with family', age and career duration ; for 'spiritual sublimation', age, and career duration were affected variables. 4) As a result of the multiple regression analysis for predictable variables affecting nurses' suffering, it was found that 'career of clinical experience' was most significant(F=23.100, p=.000). The explanatory power of this regression formula was 17.6%. Conclusion: This study can provide the basic data useful towards improvement of nursing services for terminal cancer patients and the health of the nurse.

• Asian Oncology Nursing
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• v.1 no.1
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• pp.44-53
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• 2001

Despite the advances in cancer therapy in the last 20 years, cancer continues to be a life-threatening illness, and the newly diagnosed individual faces a crisis that emphasized his or her mortality. Patients who suffer from cancer may have psychological problems, especially depression. Most tend to seek the meaning of suffering when continuing pain was experienced. Then the search for meaning, which is one of the primary needs of humans, begins. This meaning is "unique and specific" to the individual, and it must be fulfilled by the individual alone. This study was conducted to provide a basis of data for a nursing intervention program to minimize a cancer patient's suffering and to understand the relationship between life satisfaction, depression, and the meaning of suffering in cancer patients. The sample was composed of 160 cancer patients who were inpatients or outpatients of three general hospitals in Seoul. Data collections were carried out from February 25th to April 20th of 2000. The data was analyzed using a SAS program for descriptive statistics, Pearson Correlations, ANOVA, and Duncan tests. The results were as follows: 1. The scores on the depression scale ranged from 20 to 65 with a mean of 40.76 (SD 9.6) The mean score on the suffering scale was 97.72 (SD 12.7), and the score of the life satisfaction ranged from 15 to 37 with a mean of 25.51 (SD 5.2). 2. There were significant correlations between the amount of life satisfaction and depression (r=-.61, P=.00), the life satisfaction and the meaning of suffering (r=.30, p=.00), and the depression and the meaning of suffering (r=-.24, p=.00). 3. The factors influencing the depression in patients with cancer are age (F=2.52, p=.04) and education level (F=3.98, p=.00). The level of the meaning of suffering in cancer patients differed by education level (F=4.13, p=.00). Also, the level of the life satisfaction in cancer patients differed by education level (F=2.72, p=.04). In conclusion, the correlation between the depression, the meaning of suffering, and life satisfaction can be used as a concrete and practical datum for the development of nursing intervention. This may assist patients with cancer, overcome their suffering and lead to a hopeful life by understanding the meaning of suffering.

• Women's Health Nursing
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• v.15 no.4
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• pp.280-293
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• 2009

Purpose: This study was to identify the relationship between physical suffering, emotional state, and nursing needs of pregnant women in preterm labor and the difference depending on general characteristics. Methods: The participants in this descriptive survey, selected by convenience sampling, were 126 pregnant women who were hospitalized after being diagnosed with preterm labor at 3 university hospitals. Results: The level of personal hygiene was assessed in physical suffering, level of fear was assessed by the emotional state, and level of perterm labor was assessed by the nursing cares. In the analysis, physical suffering, emotional state, and nursing needs in the subjects all showed a significantly positive correlation. Differences in physical suffering, emotional state, and nursing needs depending on general characteristics were as follows; age, job, family type, economic condition, smoking, drinking admission days, previous delivery type, and artificial insemination. Conclusion: Based on the results of this study, the nurse should focus on the domain of personal hygiene, and teaching contents specific for abdominal breathing exercises for relieving the women's fear and anxiety should be added.

• English Language & Literature Teaching
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• v.9 no.1
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• pp.205-225
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• 2003

This study attempts to survey the moral growth through prison motif. Malamud deals with the theme of suffering deeply. To learn love accompanied by suffering is the way to be moral and therefore suffering becomes Malamud's main concern. The hardship from suffering and love by trial leads Frank and Yakov to guest of selves. Through this their erotic impulses are changed into caritas. Malamud portrays Frank as a schlemiel. Like Malamud's other heroes he is also born to suffering, conditioned by it, and ultimately finds the meaning of his life in learning to deal with it. At last he carries the burden of supporting Helen and Ida. As a result, Frank becomes a social failure but a moral success as traditional American Adam. The prison motif is a rather strong function of setting symbolism in The Fixer. Yakov is imprisoned for a heinous crime that he did not commit. Yakov experiences hard physical and spiritual pains in prison for two and half years. His bitter suffering has matured him, changed him into a man with love, sacrifice and responsibility for others. At last he returns a true Jew and good man with perfect spirit.

• Child Health Nursing Research
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• v.6 no.3
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• pp.354-361
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• 2000

The purpose of this study was to examine the stressors and coping styles between headache- suffering children and headache-free children. The subjects of this study consisted of 112 headache-suffering children and 203 headache- free children. They were 5th and 6th grade of elementary school around Taegu city. The periods of study was from June 1, to July 20, 2000. Data were analyzed by SAS computer programme The results of this study were as follows: 1. The score of stressor of headache-suffering children was higher than that of headache- free children significantly. The scores of school stressor and mess media stressor of headache-suffering children were higher than those of headache-free children significantly. 2. There was no significant difference even though the mean score of the coping style in headache-suffering children was higher than that of headache-free children. There were also no significant differences in both problem-oriented coping style and emotion- oriented coping style. 3. Logistic regression analysis(stepwise) revealed that the most powerful predictor was the variable stressor in school(standardized estimate=0.316, P<.001), followed by stressor in mass media(standardized estimate=0.224, P<.05).

• Journal of Korean Academy of Nursing
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• v.32 no.2
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• pp.243-253
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• 2002

The purpose of this study was to develop Nurse's Suffering Experience Scale and to test the reliability and validity of the instrument. Method: The subjects used to verify the scale's reliability and validity were 220 nurses who were taking care of the end stage cancer patients, while working at university and general hospitals in Daegu and Kyungbuk province from April 20. to July 10, 2001. The data was analyzed by the SPSS/WIN 8.0 program. Results: A factor analysis was conducted, and items that had a factor loading more than .40, and an eigen value more than 1.0. were selected. The factor analysis classified a total of seven factors statistically, and it's communality was 44%. The explanation of factors based on the conceptual framework and item content are as follows: The first factor was expanding self consciousness, the second factor was forming empathy with family, the third factor was professional challenge, the fourth factor was change of values, the fifth factor was spiritual sublimation, the sixth factor was helplessness, and finally the seventh factor was rejection to death. Cronbach's coefficient to test reliability of the scale was .8665 for total of 44 items. The Scale for Nurse's Suffering Experience developed in the study was identified as a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for the evaluation of the degree of nurse's suffering experience in clinical settings.

• Child Health Nursing Research
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• v.15 no.2
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• pp.136-144
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• 2009

Purpose: To evaluate the effects of a logotherapy education program. Methods: A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 29 children with cancer. The experimental group (n=17) participated in the logotherapy education program which consisted of 5 daily sessions for one week. The control group (n=12) received the usual nursing care. The effects were measured using suffering, adolescent meaning in life (AMIL), and spiritual well-being (SWBS) scales. Results: There were significant differences in suffering (W=153.00, p<.05) and meaning in life (W=78.00, p<.05) between the experimental and control groups. However, there was no significant difference in spiritual well-being (W=136.50, p>.05). Conclusions: Logotherapy was effective in reducing suffering and improving the meaning in life. Logotherapy can be utilized for adolescents with terminal cancer to prevent existential distress and improve their quality of life.

• Journal of Korean society of Dental Hygiene
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• v.17 no.1
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• pp.63-76
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• 2017

Objectives: The purpose of this study is to investigate the factors affecting medical knowledge and practice of dental treatment for systemic disease among dental health care workers. Methods: A self-reported questionnaire was filled out by 222 dental health care workers working in Seoul, Daejeon, Busan, Gyeonggi province, Chungcheong province, and Jeolla province within the period between May 1 - June 30, 2016. Knowledge and medical knowledge about the clinical treatment of patients suffering from systemic disease and their practice were composed of items that were corrected, supplemented, and developed by themselves based on previous research. Results: Factors affecting knowledge about clinical treatment of patients suffering from systemic disease were place of employment, treatment about systemic disease, and practice of dental treatment for systemic diseases. Predictive power was 38.5%. Factors affecting practice of clinical treatment of patients suffering from systemic disease were sex, place of employment, treatment about systemic disease, the basic equipment and drugs needed for emergency care, and knowledge of dental treatment for systemic diseases. Predictive power was 39.1%. Conclusions: Dental health care workers' knowledge and practice of dental treatment of patients suffering from systemic diseases were important factors influencing each other.

• Women's Health Nursing
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• v.6 no.3
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• pp.341-347
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• 2000

The purpose of this study was to examine the variables such as communication with mother and depression with regard to headache in headache-suffering children. The study subjects consisted of 315 in 5th&6th grade elementary school children in T city, headache-suffering children mean children experiencing twice or more march, 2. 2000 - July. 20, 2000. The data were analyzed by SAS computer program. The results of this study were as follows: 1. The mean score for communication with mother was 73.74 in headache-free group and 70.42 in headache-suffering group and difference had statistical significance. 2. The mean score for depression was 39.43 in headache-free group and 43.03 in headache-suffering group and difference had statistical significance. This study in relation to nursing implies that there is a need to teach mothers to encourage positive communication with children and that to develop depression-reducing program to prevent headache attack in children.